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Arizona rates for HCPCS J1955

Injection, levocarnitine, per 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.26 / $47.22 / $70.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $29.39 / $54.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.24 / $83.97 / $138.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $23.51 / $150.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $29.39 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.29 / $24.29 / $24.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $23.61 / $23.61